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Applied Learning (Senior Secondary Level)Medical Laboratory
Science
醫務化驗科學
Paul Li, Registered Med Technologist ,Part One,Hon Ass Professor
(Life Sciences ), HKU SPACE
Feb 2012
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？？？
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Teachers Dedication Caring
Healthcare
M.L.S
Healthcare professional
QoL, LaD
Timeless Coaching
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MLSMedical Laboratory Sciences(提供) (在) (運用)
: - “to aid the detection, diagnosis, treatment and monitoring
of a disease.”
病理化驗部 (P.I.)
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病理 = science of diseasesPhysicsChemistry Maths, EngBiology
Abdominal pain
? GI cancer ... biopsy (Histopathology/ 細胞病理學)
? Parasites/cholera … microscopy, C/ST (Microbiology/ 微生物學)
? Liver … LFT (Clinical Chemistry/ 臨床生化學)
? IB … CBC (Haematology/ 血液學)
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Presentation Outline
Med. Lab Sc ?
Significance (examples)
4 basic disciplines
Application of SSS
Job nature, outlook
Market analysis
HA storiesRegistrable qualifications
Conclusion
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HAEM Cl Chem Microbiol HistopathExamples Anaemia DM Scarlet
fever PNET
Transfusion Hepatitis Acne CIN
A.I.D. Candidiasis
4 basic disciplines(virology, immunology, molecular biology and
etc)
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Anaemia (貧血)CBCSmear
Blood Grouping and transfusion (血型/輸血)Cell sAgCross match
Haematology (血液學)
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Diabetes mellitus (糖尿病) Very common Complications
FBS: glucoseUrinalysis: colour
reaction
Hepatitis B (肝炎) Worse than AIDS ! Common Complications
HBsAg: Ag-AbLFT: enzymes
protein
Clinical Chemistry (臨床生化學)
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Antigen-antibody reaction
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Scarlet Fever
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Scarlet Fever Highly contagious, childhood (≤10) Streptococcus
pyrogenes (serotypes) Fever, sore throat, strawberry tongue, body
rash Lifelong immunity, lethal if complicated
Serology: Ag–Ab
C & ST: haemolysis
Microbiology (微生物學)
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Culture & Sensitivity
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MicrobiologyCandidiasis / Moniliasis (念珠菌) Candida albicansDM,
antibiotics, OC etc → vaginitis (BV,
Trichomonas, C/M) Itchy, reddish, cottage cheese, recurrent
!
MicroscopyC & STVaginal pH
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We Lose Jobs Globally in 2011 not because of economic
tsunami but of PNET !
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Histopathology (細胞病理學)Pancreatic Neuroendocrine tumours
(PNET)Very rare, poor prognosis, late diagnosis,
relapse 5 year survival: ~2% Jaundice, pancreatitis, fatty
stool, diabetic
WBC: countBilirubin: levelBiopsy: tumour cell, typing
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Different disciplines =different work nature & career
e.g. Blood Bank: v. prudent, under stressCl Chem: instruments,
pathophysiologyHistopath: formalin, staining, manual,
microscopicMicrobiol: manual, obnoxious, strong, infectious
e.g. less demand of histopath;CC > HAEM > MICRO >
HISTO, esp. in private sectorMolecular/ DNA lab staff
Common goal: aids diagnosis, screening, treatment &
monitoring
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Career Prospects (market analysis)Government Private
Academic Hospitals Hospitals Laboratory- research lab -
pathology - pathology - POL- teaching lab - public health -
molecular
Related occupations: biotech, forensic, environmental, food, vet
and etc
Difference: 1. vacancies/ year2. salary, promotion3. job
requirements/ duties4. professional development
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HA stories
Before 1991, M & HD …. DH In 1990, HA established Staff
salary & structure Entry qualifications for AMT/ MLT
- MLT Board registration, Chapter 359. 1990- Registrable
qualifications
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MLT registration in HK
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Registrable Qualifications/ EducationLocal OverseasHKU SPACE
(HTC) ….. II Charles Stuart (Aus)HKP(U) (Dip/ HD) .….. II Bradford
(UK)HKPU (BSc) …………... II …etcHKU (BSc, MSc) ……… II ?
- Non-MLS graduates conversion course validation professional
exam
- Advancement & P/G courses:HKU SPACE and HKPUMSc/ prof
qualifications recognizedfor appointment of MT/ SMT
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Job Nature in HA Job rotation:
- AMT in one discipline, under supervision- Rotation not common
(esp. QM and PWH)- 3-year rotation training
Shift duties:- A must for HA AMT/MT to work overnight shifts-
Non-overnight / Sunday / PH / emergency- Part (I) MT work
independently, more frequent and pressure
Annual appraisal: promotion, training (not increments!)
少説話
多做事
勤洗手
周圍走
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Career Prospects / Development Good in HA, esp. after medical
laboratory
accreditation All government pathology lab achieved
accreditation Private hospitals and labs on the track HOKLAS is the
direction: better quality, training,
reassurance Very popular (forensic, food, CM), overseas
Academic/ professional advancements 100% employment
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Attractions
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Conclusions MLS is not for everyone Attributes of a ‘good’ lab
professional
Ranked 6th
sciences / experiments
technicalanalytical
obnoxiousduties
stable, non-social healthy
passion
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AcknowledgementDr. S WuDr. M ChauMs. TamMr. Patrick WongMs. G Chan
